Elizabeth Ann Shank, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.007101 Issued in OH

Practice address

1513 Hilliard Rome Rd
Columbus, OH 43228-9544

Phone

(614) 951-9676

Fax

(614) 851-8630

NPI assigned

Sep 14, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optometric Management Group LLCGroup PAC ID 7517034291, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Optometric Management Group LLC

  • Optometrist
  • Powell, OH
  • NPI 1265534093
  Medicare reassignment Care Compare group NPD
• Michael S. Berk, O.D. Inc.

  • Optometrist
  • Gahanna, OH
  • NPI 1740398437
  NPD (past)
• Procare of Troy LLC

  • Optometrist
  • Troy, OH
  • NPI 1598926594
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686960000000",
    "number": "1245952597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 HILLIARD ROME RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432289544",
            "telephone_number": "614-951-9676",
            "fax_number": "614-851-8630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 HILLIARD ROME RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432289544",
            "telephone_number": "614-951-9676",
            "fax_number": "614-851-8630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANK",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2023-06-17",
        "certification_date": "2023-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Shane
• Kayla Marie Shane, CNP
• Kelly Shane
• Joclyn Shaner
• Qingguo Shang, O.M.D., LIC. AC.
• Divya Shankar
• Kirti R Shanker, MD
• Pradheep J Shanker, M.D.
• Cardelia Denise Shanks
• Ciera Shanks

• Optometrist in Columbus, OH
• Providers in Columbus, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.